Outline
The Michigan Verification Student form plays a crucial role in ensuring that students receiving public assistance meet the necessary educational requirements. This form is particularly important for families enrolled in the Family Independence Program, as it verifies school enrollment, attendance, and academic progress for children aged 6 to 18. When completing the form, school officials must provide essential details such as the student's name, birthdate, and enrollment status, which can include full-time or part-time attendance. It's vital for the school to cooperate voluntarily, as failure to complete the form can lead to significant consequences, including the denial or reduction of benefits for the student and their family. The Department of Human Services (DHS) emphasizes that they will not discriminate against anyone based on various factors, including race, religion, or disability, and encourages individuals needing assistance to communicate their needs. To facilitate the process, a self-addressed envelope is included for returning the completed form to the appropriate DHS office. The urgency of submitting this form cannot be overstated, as any delay may jeopardize the assistance that families rely on for their children's education.
Sample - Michigan Verification Student Form
ENTER ADDRESSEE NAME ENTER ADDRESSEE CARE OF
ENTER ADDRESSEE PO BOX OR STREET ENTER ADDRESSEE CITY/STATE/ZIP
Case Name: |
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Case Number: |
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Date: |
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DHS Office: |
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Specialist / ID: |
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Phone: |
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Fax: |
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Individual ID: |
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Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. AUTHORITY: Act 280 of 1939, as amended, and Title IV and XIX of the Social Security Act.
COMPLETION: The school administration's voluntary cooperation is requested.
PENALTY: None for the school administration’s refusal to fill out form. However, failure of school to provide information may result in denial, reduction, or loss of assistance for client.
VERIFICATION OF STUDENT INFORMATION
Student Name
Student’s Birthdate
Date Completed
CLIENT INSTRUCTIONS & RELEASE OF INFORMATION:
•It is necessary to verify school enrollment, attendance and progress for students who are receiving or applying for public assistance. For the Family Independence Program, all children between the ages of
•This form must be completed by the school. Sign below, then take or mail the form and the return envelope to the school.
• It is your responsibility to have the form completed and returned to your worker by |
or your |
benefits may be denied, reduced, or terminated. |
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To school official: You are authorized to release the information requested below to the Department of Human Services.
Client Signature
Date
INSTRUCTIONS FOR SCHOOL OFFICIAL:
We are requesting your help in verifying enrollment, attendance and progress of the
TO BE COMPLETED BY SCHOOL OFFICIAL:
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Name of School |
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Address of School |
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City |
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Name of Responsible Person With Whom the Student is Residing |
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3. Relationship to Student |
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Address of Student's Home |
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City |
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Enrollment Status: |
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FULL TIME STUDENT |
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HALF TIME STUDENT |
LESS THAN HALF TIME |
NOT CURRENTLY ENROLLED |
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Attendance: |
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Since (Give Date) |
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REGULARLY ATTENDING |
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ATTENDING SOMETIMES |
NOT ATTENDING |
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If not regularly attending, is absence due to disability or periods of extended illness? |
Yes |
No |
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Case Name
Case Number
Specialist
7. Type of Program
8.Curriculum or Major
9.Degree Being Pursued:
HIGH SCHOOL DIPLOMA
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VOCATIONAL TRADE OR TECHNICAL TRAINING |
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COLLEGE OR UNIVERSITY |
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YES |
NO |
Is a High School diploma/GED Required for this program |
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Participating in Work Study |
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School Year/Term/Semester Begin Date |
End Date |
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YES |
NO |
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ASSOCIATE OF ARTS DEGREE |
NOT APPLICABLE |
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Expected Date of Completion/Graduation |
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B.A./B.S |
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OTHER (Specify) |
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21 Day Compliance Test
Complete if box is checked
10. Has the child regularly attended all school days for the past 21 calendar days?
Yes
No
11. Comments
12. Signature of School Official
Title
Phone Number
Date
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Form Information
| Fact Name | Details |
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| Governing Law | Act 280 of 1939, as amended, and Title IV and XIX of the Social Security Act govern the Michigan Verification Student Form. |
| Purpose | This form verifies school enrollment, attendance, and progress for students receiving or applying for public assistance. |
| Client Responsibility | Clients must ensure the form is completed and returned to their worker to avoid potential denial or reduction of benefits. |
| School's Role | School administration is requested to voluntarily complete the form to assist in verifying student information. |
| Penalties | There is no penalty for schools refusing to fill out the form, but failure to provide information may affect client assistance. |
| Age Requirement | Children aged 6-18 must attend school full-time to qualify for the Family Independence Program. |
| Submission Method | The completed form can be mailed or taken directly to the DHS office by the client. |
| Discrimination Policy | The Department of Human Services does not discriminate based on race, religion, age, national origin, or other protected characteristics. |
Detailed Guide for Filling Out Michigan Verification Student
Completing the Michigan Verification Student form is a crucial step in ensuring that your application for public assistance is processed smoothly. After filling out this form, it will need to be submitted to your school for verification of enrollment and attendance. The school will then return the completed form to the appropriate Department of Human Services office. Follow these steps to fill out the form accurately.
- Enter the name of the addressee in the designated field.
- If applicable, provide the care of name for the addressee.
- Input the PO Box or street address for the addressee.
- Fill in the city, state, and ZIP code for the addressee.
- Complete the case name and case number sections.
- Write the date of completion.
- Specify the DHS office and the specialist’s ID number along with their phone and fax numbers.
- Provide the individual ID number if available.
- Fill in the student’s name and birthdate.
- Sign the client instructions and release of information section, including the date.
- Hand the form to a school official for completion.
- Request the school official to fill out the back of the form, including the name and address of the school.
- Ensure the school official provides their name, relationship to the student, and the student's home address.
- Indicate the enrollment status (full-time, half-time, etc.) and attendance details since the specified date.
- Have the school official check if the absence is due to disability or illness, if applicable.
- Complete the type of program section, indicating if a high school diploma or GED is required.
- Fill in the curriculum or major and the school year/term/semester dates.
- Specify the degree being pursued and the expected date of completion/graduation.
- If applicable, check the box for the 21-day compliance test and indicate regular attendance.
- Provide any additional comments as necessary.
- Finally, the school official should sign, include their title, phone number, and date.
Obtain Answers on Michigan Verification Student
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What is the Michigan Verification Student form?
The Michigan Verification Student form is a document used to verify a student's enrollment, attendance, and progress in school. It is primarily for students who are applying for or receiving public assistance through programs like the Family Independence Program.
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Who needs to fill out this form?
The form must be completed by a school official. This could be a principal, registrar, or another designated person within the school administration. The student or their guardian is responsible for ensuring the form is submitted to the appropriate Department of Human Services (DHS) worker.
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What happens if the school does not fill out the form?
While there is no penalty for the school’s refusal to complete the form, failure to provide the necessary information may result in the denial, reduction, or termination of assistance for the student receiving public benefits.
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What information is required on the form?
The form requires details such as:
- Name and address of the school
- Enrollment status (full-time, half-time, etc.)
- Attendance record
- Type of program (K-12, vocational, college, etc.)
- Degree being pursued, if applicable
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Why is this verification necessary?
Verification of school enrollment and attendance is crucial for students aged 6-18 who are receiving public assistance. If a student is not attending school full-time, it may lead to a denial or reduction of benefits.
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How should the form be submitted?
The completed form should be returned to the DHS office either in person or by mail. A stamped self-addressed envelope is typically provided to facilitate this process.
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What if a student has a disability?
If a student's absence from school is due to a disability or extended illness, this should be noted on the form. This information can impact the assessment of the student’s eligibility for assistance.
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Is there a deadline for submitting the form?
Yes, it is important for the form to be completed and returned to the DHS worker by a specified date. Missing this deadline may result in the denial or reduction of benefits.
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What rights do individuals have regarding this form?
The Department of Human Services (DHS) ensures that no individual will face discrimination based on race, religion, age, national origin, or other protected characteristics. If assistance is needed in completing the form due to a disability, individuals are encouraged to communicate their needs to the DHS office.
Common mistakes
Completing the Michigan Verification Student form can be a straightforward process, but several common mistakes can lead to complications. Understanding these pitfalls can help ensure that the form is filled out correctly and submitted on time.
One frequent error is incomplete information. Individuals often overlook sections that require detailed responses, such as the student’s full name or address. Missing this information can cause delays in processing or result in the denial of benefits. It is crucial to double-check that all fields are filled out completely before submission.
Another common mistake involves the failure to meet deadlines. The instructions clearly state that the form must be returned by a specific date. If the form is submitted late, the student may face a reduction or termination of benefits. Keeping track of deadlines and ensuring timely submission is essential for maintaining assistance.
Additionally, some individuals neglect to obtain the required signatures. The form mandates that both the client and a school official sign it. Without these signatures, the form may be considered invalid. Therefore, it is important to ensure that all necessary parties have reviewed and signed the document before it is submitted.
Another mistake is failing to provide accurate enrollment status. Individuals may select the wrong category, such as indicating that a student is a full-time student when they are actually attending part-time. This discrepancy can lead to misunderstandings and potential issues with benefit eligibility. Careful attention to the enrollment status is vital.
Finally, individuals sometimes overlook additional comments that may be necessary. The form includes a section for comments where important information can be shared, such as special circumstances affecting attendance. Ignoring this section can result in a lack of context for the school’s response, which may hinder the review process.
Documents used along the form
The Michigan Verification Student form is a crucial document used to verify a student's enrollment and attendance for public assistance programs. Alongside this form, several other documents are commonly utilized to ensure comprehensive verification and support for students and their families. Below is a list of related forms and documents that often accompany the Michigan Verification Student form.
- Family Independence Program (FIP) Application: This application is required for families seeking assistance under the Family Independence Program. It collects information about household income, expenses, and family composition to determine eligibility for benefits.
- School Attendance Record: This document provides detailed information about a student's daily attendance. It is often required to substantiate claims made in the Verification Student form regarding a student's regular attendance.
- Income Verification Form: This form is used to verify the income of the family applying for assistance. It may require documentation such as pay stubs, tax returns, or other proof of income to assess eligibility for public assistance programs.
- Release of Information Consent Form: This form allows the school or relevant authorities to share a student's educational records with the Department of Human Services. It ensures compliance with privacy laws while facilitating the verification process.
- Proof of Residency Document: This document is often required to establish the student's residency. It may include utility bills, lease agreements, or other official documents that confirm the student's address and eligibility for local assistance programs.
Understanding these documents and their purposes can help streamline the verification process for students and their families. Ensuring all necessary forms are completed accurately and submitted on time is essential for receiving the appropriate assistance and support.
Similar forms
The Michigan Verification Student form serves a specific purpose in the context of verifying student enrollment and attendance for public assistance. Several other documents share similar functions, focusing on the verification of educational status and related information. Below are four documents that resemble the Michigan Verification Student form:
- Free Application for Federal Student Aid (FAFSA): This form is used by students to apply for financial aid for college. Like the Michigan Verification Student form, it requires information about the student's enrollment status and can impact eligibility for financial assistance. Both documents emphasize the importance of accurate and timely information to avoid disruptions in benefits.
- Verification of Enrollment Form: Often required by lenders or scholarship organizations, this document confirms a student's current enrollment status. Similar to the Michigan form, it requests details about the student’s school, attendance, and academic progress, ensuring that the student meets eligibility criteria for various programs.
- School Attendance Record: This document tracks a student's daily attendance at school. It parallels the Michigan Verification Student form in its focus on attendance and participation. Accurate attendance records are crucial for determining eligibility for public assistance, just as they are for academic evaluations.
- State Aid Application: This application is necessary for students seeking state-funded financial aid. It requires similar information regarding the student's educational status and may include verification from the school. Both documents aim to establish a student’s eligibility for assistance based on their academic involvement.
Dos and Don'ts
When filling out the Michigan Verification Student form, it is important to follow specific guidelines to ensure accuracy and completeness. Below is a list of things you should and shouldn't do during this process.
- Do ensure that all required fields are filled out completely.
- Do verify the student's name and birthdate match official records.
- Do confirm the enrollment status of the student accurately reflects their current situation.
- Do check that the form is signed by both the client and the school official.
- Do submit the form by the specified deadline to avoid delays in benefits.
- Don't leave any sections blank; incomplete forms may lead to processing issues.
- Don't provide outdated information regarding the student's attendance or enrollment.
- Don't forget to include any additional comments that may clarify the student's situation.
- Don't ignore the instructions for returning the form; use the provided envelope if available.
Misconceptions
Misconceptions about the Michigan Verification Student form can lead to confusion for both students and school officials. Here are nine common misconceptions clarified:
- The form is mandatory for all students. Many believe every student must complete this form. However, it is only required for those applying for or receiving public assistance.
- Schools face penalties for not completing the form. Some think that schools will be penalized if they refuse to fill out the form. In reality, there are no penalties for the school, but failure to provide information may impact the student's benefits.
- The form must be submitted immediately. A common belief is that the form has to be submitted right away. While timely submission is important, students have a specified deadline to return the completed form to their worker.
- Only full-time students need to be verified. It is a misconception that only full-time students are subject to verification. The form also applies to part-time and less-than-half-time students, as their enrollment status affects assistance eligibility.
- The school is responsible for returning the form. Some think that schools must send the form back to the Department of Human Services (DHS). In fact, it is the student's responsibility to ensure the form is returned.
- The form is only for K-12 students. Many assume this form is only applicable to K-12 students. However, it is relevant for students in vocational programs, colleges, and universities as well.
- All information must be provided by the school. There is a belief that schools must provide extensive information. While schools are asked to verify certain details, they are not required to provide information beyond what is requested.
- Disability status affects the need for the form. Some think that if a student has a disability, they do not need to complete the form. However, all students receiving public assistance must have their enrollment verified, regardless of disability status.
- The form guarantees benefits. It is a misconception that submitting this form guarantees public assistance benefits. Benefits depend on various factors, including the accuracy and completeness of the information provided.
Understanding these misconceptions can help students and schools navigate the verification process more effectively.
Key takeaways
Key Takeaways for Filling Out and Using the Michigan Verification Student Form:
- The form must be completed by the school to verify a student's enrollment, attendance, and progress.
- It is the client's responsibility to ensure the form is returned to their worker by the specified deadline to avoid potential loss of benefits.
- Schools are not penalized for refusing to fill out the form, but their failure to provide necessary information can lead to negative consequences for the client.
- All children aged 6-18 receiving public assistance must be enrolled in school full-time to maintain their benefits.
- School officials should use the provided self-addressed envelope to return the completed form promptly to the Department of Human Services.